FORM 4 |
UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940 |
|
|||||||||||||||
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b). |
1. Name and Address of Reporting Person*
(Street)
|
2. Issuer Name and Ticker or Trading Symbol
ADVANCEPCS [ ADVP ] |
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
|
||||||||||||||||||||||||
3. Date of Earliest Transaction
(Month/Day/Year) 03/16/2004 | ||||||||||||||||||||||||||
4. If Amendment, Date of Original Filed
(Month/Day/Year) |
6. Individual or Joint/Group Filing (Check Applicable Line)
|
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned | ||||||||||
---|---|---|---|---|---|---|---|---|---|---|
1. Title of Security (Instr. 3) | 2. Transaction Date (Month/Day/Year) | 2A. Deemed Execution Date, if any (Month/Day/Year) | 3. Transaction Code (Instr. 8) | 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) | 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) | 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) | 7. Nature of Indirect Beneficial Ownership (Instr. 4) | |||
Code | V | Amount | (A) or (D) | Price | ||||||
Class A Common Stock | 03/16/2004 | M | 10,000 | A | $28.65 | 11,726,572 | I | By JLL Fund III | ||
Class A Common Stock | 03/16/2004 | S | 1,560 | D | $70 | 11,725,012 | I | By JLL Fund III | ||
Class A Common Stock | 03/16/2004 | S | 150 | D | $70.01 | 11,724,862 | I | By JLL Fund III | ||
Class A Common Stock | 03/16/2004 | S | 200 | D | $70.02 | 11,724,662 | I | By JLL Fund III | ||
Class A Common Stock | 03/17/2004 | S | 950 | D | $70.71 | 11,723,712 | I | By JLL Fund III | ||
Class A Common Stock | 03/17/2004 | S | 850 | D | $70.662 | 11,722,862 | I | By JLL Fund III | ||
Class A Common Stock | 03/17/2004 | S | 950 | D | $70.55 | 11,721,912 | I | By JLL Fund III | ||
Class A Common Stock | 03/17/2004 | S | 850 | D | $70.539 | 11,721,062 | I | By JLL Fund III | ||
Class A Common Stock | 03/17/2004 | S | 300 | D | $70.507 | 11,720,762 | I | By JLL Fund III | ||
Class A Common Stock | 03/17/2004 | S | 850 | D | $69.917 | 11,719,912 | I | By JLL Fund III | ||
Class A Common Stock | 03/17/2004 | S | 850 | D | $69.529 | 11,719,062 | I | By JLL Fund III | ||
Class A Common Stock | 03/17/2004 | S | 650 | D | $69.5 | 11,718,412 | I | By JLL Fund III | ||
Class A Common Stock | 03/17/2004 | S | 1,840 | D | $69.85 | 11,716,572 | I | By JLL Fund III |
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) | |||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1. Title of Derivative Security (Instr. 3) | 2. Conversion or Exercise Price of Derivative Security | 3. Transaction Date (Month/Day/Year) | 3A. Deemed Execution Date, if any (Month/Day/Year) | 4. Transaction Code (Instr. 8) | 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) | 6. Date Exercisable and Expiration Date (Month/Day/Year) | 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) | 8. Price of Derivative Security (Instr. 5) | 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) | 10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) | 11. Nature of Indirect Beneficial Ownership (Instr. 4) | ||||
Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||||||
Stock Options | $28.65 | 03/16/2004 | M | 5,000 | 12/20/2002 | 12/20/2011 | Class A Common Stock | 5,000 | $0 | 5,000 | D | ||||
Stock Options | $28.65 | 03/16/2004 | M | 5,000 | 12/20/2003 | 12/20/2011 | Class A Common Stock | 5,000 | $0 | 0 | D |
Explanation of Responses: |
Remarks: |
As of March 16, 2004, JLL Partners Fund III, L.P. ("JLL fund III") was the direct beneficial owner of 2,790,900 shares of Common Stock and 8,913,334 shares of Class B-1 Common Stock of AdvancePCS, which are convertible at any time at the option of the holder into shares of Common Stock at a one-for-one ratio. Assuming the conversion of all shares of Class B-1 Common Stock owned by JLL Fund III, JLL Fund III may be deemed to beneficially own an aggregate of 11,704,234 shares of Common Stock. By virtue of its position as general partner of JLL Fund III, JLL Associates III, L.L.C. ("JLL Associates") may be deemed to be the beneficial owner of all of the shares in which JLL Fund III has direct beneficial ownership. By virtue of Paul S. Levy's position as managing member of JLL Associates, Paul S. Levy may be deemed to have a beneficial ownership interest in all of the shares in which JLL Fund III has direct beneficial ownership. Paul S. Levy disclaims beneficial ownership of such securities, except to the extent of his pecuniary interests therein as calculated pursuant to the rules and regulations promulgated under Section 16 of the Securities Act of 1933, as amended. Paul S. Levy also owns 19,114 shares of Common Stock directly (including 10,000 shares acquired on March 16, 2004 from the exercise of stock options), and may be deemed to beneficially own an additional 3,224 shares of Common Stock held through the Levy Fund III Annuity Trust. |
Paul S. Levy | 03/18/2004 | |
** Signature of Reporting Person | Date | |
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | ||
* If the form is filed by more than one reporting person, see Instruction 4 (b)(v). | ||
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). | ||
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure. | ||
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number. |